Individual
MATTHEW EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 493-4330
Mailing address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 493-4330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006853
MI
Other
Enumeration date
10/15/2013
Last updated
06/21/2022
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